Clinical Nurse II - Telemetry - Sharp Tri-City - FT - 12H Nights

Sharp HealthCare; Oceanside (CA); On-site; USD 81,000 - 107,000; Full time

Job summary

Sharp HealthCare is seeking a Telemetry Registered Nurse (CN II) to deliver high‑quality, patient‑centered care on a busy telemetry unit. The role requires autonomous practice and collaboration with an interdisciplinary team to ensure patient safety and positive outcomes.

The RN will monitor patients with cardiac conditions, administer medications, and educate families about conditions and treatments. Strong ECG interpretation and critical thinking are essential; night shifts are required.

Qualifications

• RN requirements: BSN or ASN with telemetry experience; CA RN license required.
• ACLS and NIHSS certifications required; BLS required.
• Transitional RN program candidates may apply; ONS PCCN/CCRN preferred.

Responsibilities

• Monitor and care for patients on continuous cardiac monitoring.
• Administer medications and non-titratable drips with monitoring.
• Develop individualized care plans for cardiac and neurological conditions.
• Document care in EHR and participate in quality improvement.

Skills

ECG interpretation

Telemetry nursing

Critical thinking

Patient education

Team collaboration

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing (with five years RN telemetry experience in lieu of BSN)

CA RN license

AHA BLS Healthcare Provider

ACLS Certification

NIH Stroke Scale (NIHSS)

Oncology/chemotherapy certification (ONS PCCN/CCRN preferred)

Tools

Centralized cardiac monitoring systems

Job description

Hours

Shift Start Time: 7 PM

Shift End Time: 7:30 AM

AWS Hours Requirement: 12/36 - 12 Hour Shift

Additional Shift Information:

Weekend Requirements: Every Other

On-Call Required: No

Hourly Pay Range (Minimum - Midpoint - Maximum): $59.000 - $68.420 - $77.850

This position is covered by a Collective Bargaining Agreement (CBA) with CNA.

What You Will Do

The Telemetry Registered Nurse (RN) at the Clinical Nurse II (CN II) level is a vital part of the telemetry team, responsible for delivering high‑quality, patient‑centered care. This role requires advanced competencies, specialized certifications, and a strong ability to function autonomously while collaborating with interdisciplinary team members to ensure patient safety and optimal patient outcomes.

Required Qualifications

• Bachelor's Degree in Nursing Or
• Associate's Degree in Nursing with five (5) years’ experience as a Registered Nurse in a telemetry or equivalent intermediate care unit in lieu of BSN.
• Experienced Telemetry RN: Two (2) years of experience as a Registered Nurse in a telemetry or equivalent intermediate care setting, required.Or
• Transitional RN Program: Two (2) years of experience as a Registered Nurse in an acute care, or equivalent setting, required.
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
• ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED
• NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -REQUIRED

Other Qualification Requirements

• Current ONS Chemotherapy Immunotherapy Certificate, required (Progressive Care Unit Only) o Transitional RN Program: Must obtain certificate within 6 months of hire or transfer. Progressive Care Certified Nurse (PCCN) or Certified Critical Care Nurse (CCRN Adult), or equivalent certificate, preferred.

Essential Functions

• The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Patient Care: Responsible for monitoring and caring for patients who require continuous cardiac monitoring. Performing detailed assessments, respond to acute changes in patient’s cardiac rhythms, neurological status and overall condition. Administer medications, including non‑titratable drips, and monitor for therapeutic effects. Develop and implement individualized care plans for patients with cardiac, neurological and related conditions. Act as a patient advocate, ensuring dignity and confidentiality. Demonstrate empathy and compassion for patient experience. Provide education to patients and families about medical conditions, medications, and lifestyle modifications. Advocate for evidence‑based practices in telemetry care. Safety and Compliance: Maintain a safe, clean working environment, adhering to infection control and hospital policies. Comply with regulatory standards (e.g., The Joint Commission, OSHA). Report safety hazards and participate in quality improvement efforts. Documentation: Accurately document patient care, interventions and responses in the Electronic Health Record (EHR) according to Patient Standards of Care. Professional Development and Leadership: Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students, supporting their professional development. Engage in continuing education and unit‑based initiatives. Serve as a resource for best practices within the Telemetry unit. Act as Relief Charge Nurse as needed. Emergency Preparedness: Respond promptly to cardiac emergencies (e.g., arrhythmias, chest pain) with advanced clinical skills.

Knowledge, Skills, and Abilities

• Proficiency in Electrocardiogram (ECG/EKG) interpretation, and arrhythmia recognition and management.
• Provide post‑procedure care (post‑cardiac catheterization, pacemaker insertion, 24‑hour post CABG, and Watchmen procedures).
• Ability to work in a fast‑paced, high‑acuity environment requiring quick decision making and strong teamwork.
• Proficient in working with centralized cardiac monitoring systems.
• Strong clinical judgment, critical thinking and problem‑solving skills to respond to acute changes in patient conditions.
• Strong patient care and communication skills with patients, families, and healthcare team members.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; NIH Stroke Scale (NIHSS) - Various-Employee provides certificate; California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Associate's Degree in Nursing; Bachelor's Degree in Nursing